As a pre-med student at the University of Washington in the mid-1980s, Mary Kathleen Lustyk was working the graveyard shift in an emergency room, handling triage when she had a sudden, terrifying realization: She didn't want to be a surgeon, after all. Frustrated by people clogging the ER with complaints of sniffles and hangnails, Lustyk had to admit she wasn't cut out for dail . . .

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